<div class="pathname">
	<?php echo $this->breadcrumb($this->breadcrumb);?>
</div> <!-- end path name-->
<!-- begin Scheduling-->
<div class="content">
	<div class="contentTop"><h1><?php echo $this->translate('register_breadcrumb', $this->lang)?></h1></div><!-- end contentTop-->
    <div class="contentCenter">
    	<div class="fixContent fixtext">
        	<p><?php echo $this->translate('require_information_first', $this->lang)?> (<span class="r_color">*</span>) <?php echo $this->translate('require_information_last', $this->lang)?></p>
            <form>
            	<div class="inputForm">
                   <label><?php echo $this->translate('full_name', $this->lang)?><span class="r_color">*</span>:</label>
                   <input type="text" name="fullname" id="fullname"><br>
                   <label>Email<span class="r_color">*</span>:</label>
                   <input type="text" name="email" id="email"><br>
                   <label><?php echo $this->translate('phone', $this->lang)?><span class="r_color">*</span>:</label>
                   <input type="text" name="phone" id="phone"><br>
                   <label><?php echo $this->translate('address', $this->lang)?>:</label>
                   <input type="text" name="address" id="address"><br>
                   <label><?php echo $this->translate('company', $this->lang)?>:</label>
                   <input type="text" name="company" id="company"><br>
                   <label><?php echo $this->translate('title_role', $this->lang)?>:</label>
                   <input type="text" name="title_role" id="title_role"><br>
                   <label><?php echo $this->translate('attender_count', $this->lang)?><span class="r_color">*</span>:</label>
                   <input type="text" name="attender_count" id="attender_count"><br>
               </div>
               <div class="radioForm">
                   <label><?php echo $this->translate('register_location', $this->lang)?> <span class="r_color">*</span>:</label>
                       <input type="radio" name="location" value="Hà Nội"/> <span>Hà nội</span>
                       <input type="radio" name="location" value="TP Hồ Chí Minh"/> <span>Tp.HCM</span>
                       <select id="select_location" name="select_location" style="margin-left: 10px;">
                           <option value="">[<?php echo $this->translate('other_location', $this->lang)?>]</option>
                           <?php foreach (Utils_CommonFunction::getCities() as $city) :?>
                               <option value="<?php echo $city?>"><?php echo $city?></option>
                           <?php endforeach;?>
                       </select>
                       <!--input type="radio" name="location" value="Bình Dương"/> <span>Bình Dương</span>
                       <input type="radio" name="location" value="Đồng Nai"/> <span>Đồng Nai</span>
                       <input type="radio" name="location" value="Cần Thơ"/> <span>Cần Thơ</span-->
                </div>
                <div class="clear"></div>
                <div class="courseForm">
                   <label><?php echo $this->translate('programs', $this->lang)?> <span class="r_color">*</span>:</label>
                   <select name="scourses" id="scourses">
                        <option value="0">[<?php echo $this->translate('programs', $this->lang)?>]</option>
                         <?php foreach ($this->courses as $course):?>
                             <?php if(is_array($course['childs']) && count($course['childs']) > 0) {?>
                                 <optgroup label="<?php echo $course['content']?>" data-parent="<?php echo $course['id']?>">
                                     <?php foreach ($course['childs'] as $child):?>
                                         <option value="<?php echo $child['id']?>" ><?php echo $child['content']?></option>
                                     <?php endforeach;?>
                                 </optgroup>
                             <?php } else {?>
                                 <option value="<?php echo $course['id']?>"><?php echo $course['content']?></option>
                             <?php }?>
                         <?php endforeach;?>
                  </select>
               </div>
               <div class="clear"></div>
               <div class="payForm">
                   <label><?php echo $this->translate('payment_type', $this->lang)?> <span class="r_color">*</span>:</label>
                   <select name="payment_method" id="payment_method">
                   		<option value="0">[<?php echo $this->translate('payment_choose', $this->lang)?>]</option>
                        <option value="Tiền mặt"><?php echo $this->translate('payment_cash', $this->lang)?></option>
                        <option value="Chuyển khoản"><?php echo $this->translate('payment_transfer', $this->lang)?></option>
                   </select>
               </div>
               <div class="clear"></div>
               <!-- div class="clauseForm">
               <input type="checkbox" name="agreementstm"/><span><?php echo $this->translate('agreement_statement', $this->lang)?></span>
               <p>Thông tin cá nhân của bạn được FMIT sử dụng để tư vấn các khóa học, 
                   ghi danh đăng ký khóa học online và gửi những chương trình khuyến mãi, tin tức. 
                       Bạn có thể yêu cầu không tham gia bằng cách gửi Email về <a href="mailto:info@fmit.vn">info@fmit.vn</a></p>
               </div-->
            </form>
            <div id="message" style="text-align: center;font-weight: bold;color: red;">&nbsp;</div>
            <span id="registerbutton">
                <a href="javascript:void(0)" class="btnSubmit" id="btnSubmitFullCourse"><?php echo $this->translate('register_button_label', $this->lang)?> </a>
            </span>
            <hr />
            <?php echo $this->page['content'];?>
            <!-- div class="contacInfo">
            	<h2 class="iconContact"><span>Thông tin liên hệ:</span></h2>
                <p><strong>Viện FMIT</strong></p>
                <p><strong>126 Nguyễn Thị Minh Khai, P. 6, Q. 3, Tp. HCM</strong></p>
                <p><strong>Tel</strong>: (08) 3930 1724 - (08) 3930 1725 || <strong>Fax</strong>: (08) 3930 1726</p>
                <p><strong>Hotline</strong>: 0988 54 00 11</p>
                <p><strong>Email</strong>: info@fmit.vn</p>
            </div>
            <div class="PayInfo">
                <h2 class="iconPay"><span>Thanh toán chuyển khoản:</span></h2>
                <p>Tên tài khoản:</p>
                <p>Số tài khoản:</p>
                <p><strong>Liên hệ Điện thoại</strong>: (08) 3930 1724 - (08) 3930 1725 - (08) 3930 1726  hoặc
                <strong>Email</strong>: daotao@fmit.vn để xác nhận việc hoàn tất thanh toán.</p>
            </div-->
        </div><!--fixContent-->
    </div><!-- end contentCenter-->
    <div class="contentBottom"></div><!-- end contentBottom-->
    <div class="footer">
     <?php if(Utils_Global::getCurrentLanguage() == 'vi') {
        require_once(APPLICATION_PATH . '/modules/cms/layouts/scripts/footer.phtml');
        } else {
        	require_once(APPLICATION_PATH . '/modules/cms/layouts/scripts/footer_en.phtml');
        }?>
    </div><!--footer-->
</div><!--end Scheduling-->